HomeMy WebLinkAboutWQ0041136_Monitoring - 11-2021_20211230 n ..
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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0041136
Name of Facility:* Cervini Farm
Month:* November Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0041136.pdf 609.78KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* rbarr@rpbsystems.com
Name of Submitter:* Robert Barr
Signature:
Date of submittal: 12/30/2021
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda
Is the project number correct?* WQ0041136
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Accepted Date: 3/14/2022
FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 1 of 4
Permit No.: WQ0041136 1 Facility Name: Cervini Farms WWTP l county: Henderson Month: November Year: 2021
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FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 2 of 4
Did the application rates exceed the limits in Attachment B of your permit? o compliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant 0 Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? o Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 Compliant E Non-Compliant
If the facility is non-compliant, please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
•
Operator in Responsible Charge(ORC)Certification Permittee Certification
CRC: Danielle Hunter Permittee: Cervini Farms North Carolina Inc_
Certification No.: 1007992 Signing Official: Robert Barr
Grade: SI Phone Number: (828)251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑Yes 0 No Phone Number: (828)-251-1900 Permit Exp.: 12/31/25
424/1414 I) 11:30..-24
Signature Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted.Based on ray
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 3 of 4
Permit No.: W00041136 I Facility Name: Cervini Farms WWTP I County: Henderson I Month: November I Year: 2021
PPI: 001 I Flow Measuring Point: ❑Influent 0 Effluent C[No flow generated I Parameter Monitoring Point: ❑Influent 0 Effiuent ❑Groundwater Lowering ❑Surface water
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Sample Frequency::s°; ilMIWiii ' Monthly }I}l ll li il#d +tl'il {liiW410 i ti Monthly 411104 x,11i11 Weekly l '0410 I#i9ii !1 I ,li10110 1 TI 1s,(a,t�,}�i t1t,11t{N .�,:,,,.,,s,,iliiil[°91i
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FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 4 of 4
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name: Robert Barr Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant C]Non-Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
BOO A\f"S*--s f o Nit N".n 11 /4:6-A- j ,+�°J'S 1s��L `Sc./5 %k f Lek-co._
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Danielle Hunter Permittee: Cervini Farms North Carolina, inc.
Certification No.: 1007992 Signing Official: Robert Barr
Grade: SI Phone Number: (828) 251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? E Yes p No Phone Number: (828) 251-1900 Permit Expiration: 12/31/2025
•
• ow...a
Signature Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am
aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617